Name Affidavit Form

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NAME AFFIDAVIT
Before me, the undersigned authority, this day personally appeared _______________________
(“Affiant”) who being by me first duly sworn, affirmed as follows:
Affiant is one and the same person as: _______________________________________
____________________________
(SIGNATURE)
______________________________
(PRINT NAME OF AFFIANT)
STATE OF ________________
(Printed name of Notary)
COUNTY OF _______________
Sworn to and subscribed before me this _____day of ___________, 20__, by _______________,
who was personally known to me or who presented ___________________________ as
identification.
______________________________
Commission No.
(Signature of Notary)
Commission Expiration:
______________________________

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